Lickfold, Charity M

Lickfold, Charity M is an sole proprietor health care provider with primary practice located at 580 Ne Poplar St , Clatskanie OR 97016-7470. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist is her primary health care specialty. Lickfold, Charity M can be contacted via phone (208) 704-7632.

Contact Information

Primary practice address
580 Ne Poplar St Clatskanie OR 97016-7470
Phone: (208) 704-7632
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X

Profile Details

NPI number 1528671328
LBN Legal business name Lickfold, Charity M
Credentials MFP, CPT, CNC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2020
Last updated May 21st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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